• Behavioral Health Care Manager I

    Elevance Health (Atlanta, GA)
    …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... facility-based and outpatient professional treatment health benefits through telephonic or written review . Primary duties may include but are not limited to: + Uses… more
    Elevance Health (01/09/26)
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  • Physician - Neurology

    Luke Staffing (Fort Bragg, NC)
    …+ Comply with regulatory, MTF, and Joint Commission quality inspection/ peer review / utilization management requirements, and applicable system applications. ... and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive… more
    Luke Staffing (01/09/26)
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  • Nurse Navigator

    UnityPoint Health (Waterloo, IA)
    …patient population, ensuring that adequate discharge plans are in place and completing utilization management and quality review activities. Care is provided ... Sign On Bonus: $7,500 + FTE/Hours per pay period: 0.9 + Department: Case Management + Shift: Mon-Friday, 0800-1630, some weekends and one holiday/year. + Job ID:… more
    UnityPoint Health (01/06/26)
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  • Residential SUD Counselor - 127 West 25th Street

    Bowery Residents Committee (Manhattan, NY)
    …and crisis intervention. Gather and review documentation as requested for utilization management reviews of clients on caseload including completion of ... MSW or CASAC-T License required. LMHC or LMSW preferred. Excellent time management skills. Bachelors strongly preferred. Knowledge of OASAS rules and regulations and… more
    Bowery Residents Committee (12/30/25)
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  • Customer Solution Center Member Navigator II-…

    LA Care Health Plan (Los Angeles, CA)
    …multi-departmental (Member Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales ... translations for members' correspondence into the appropriate languages. As requested review documents submitted by C&L to ensure proper translation and culturally… more
    LA Care Health Plan (12/18/25)
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  • Assistant Manager, Clinical Pharmacy

    Atlantic Health System (Morristown, NJ)
    …including preparing clinical updates and data metrics. + Plans and implements drug utilization management and quality improvement plans. + Liaison with site ... with site and enterprise pharmacy teams to support formulary management and pharmacoeconomic initiatives + Providing drug information to...100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -… more
    Atlantic Health System (12/12/25)
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  • Health Insurance & Authorization Specialist I

    Highland Hospital (Rochester, NY)
    …benefits, identifies and resolves coordination of benefits discrepancies, and notifies Utilization Management of additional clinical requests **Salary Range:** ... information is on file and accurately documented. These activities include review diagnosis and history for correct insurance coverage, insurance eligibility and… more
    Highland Hospital (12/02/25)
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  • Unclassified Physician/Psychiatrist

    Louisiana Department of State Civil Service (Houma, LA)
    …issues impacting care in a succinct and timely manner. + Consistently meets Utilization Management and billable services expectations + Maintain knowledge of ... for clients who present with mental health and addictive disorders + Review diagnosis, evaluation and treatment plans in collaboration with clients and/or… more
    Louisiana Department of State Civil Service (11/29/25)
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  • RN Care Manager

    Intermountain Health (Las Vegas, NV)
    …institution. + Care Management Certification + Demonstrated experience in case management , utilization review , or discharge planning. + BLS Certified ... The RN Ambulatory Care Manager I delivers comprehensive ambulatory care management services to identified patients. Leveraging clinical expertise, this role involves… more
    Intermountain Health (01/13/26)
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  • RN Care Manger - PRN

    Intermountain Health (Butte, MT)
    …+ Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning. ... + Case Management Certification + Demonstrated experience in case management , utilization review , value-based care, and/or discharge planning.… more
    Intermountain Health (01/06/26)
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